Croatian Society of Gynaecology and Obstetrics, and Croatian Society of Perinatal Medicine of Croatian Medical Association
Abstract
Cilj je istraživanja ispitati kako porast učestalosti carskog reza u varaždinskom rodilištu posljednjih godina utječe na novorođenački i majčinski ishod. Metode. Analizirano je 366 jednoplodnih trudnoća dovršenih carskim rezom u razdoblju od 1998.–99. te njih 463 u razdoblju od 2000.–01. godine. Rezultati. Učestalost carskog reza u ročnom porodu je porasla od 9,67% na 13,41% (p0.05). Dystocia was the leading cause for cesarean in term pregnancies, followed by fetal distress and previous cesarean. In preterm pregnancies, due primarily to increasing incidence of hypertension and intrapartum haemorrhage, fetal distress was less common indication between 2000 and 2001. Neonatal asphyxia in preterm deliveries occured at lower rates in the period with higher cesarean rates (26.7% compared to 50.0%, p<0.05), the difference being not signifficant at term. The neonatal mortality rate was 1.36% between 1998 and 1999, compared to 1.29% between 2000 and 2001. The frequency of postcesarean endometritis, wound infections and anemia was not different among groups. Cesarean section maternal mortality was 1 death per 829 operations, caused by pulmonary embolism in 2001. Conclusion. Cesarean section is still a major operation and the procedure is associated with substantial maternal mortality. Our study provides little evidence that the use of cesarean section improves perinatal outcome
